Career Home » Career * Required fields Application Date* 1 Personal Information First Name * Last Name * Middle Name * Street Address * City * State * Phone Number * Email Address * Referred By * Are you 18 years of age or older? * YesNo 2 Employment Desired Store Location * Select store location…3315 Ridge Rd, Lansing400 E 159th St, Harvey500 E North Ave, Glendale Heights1805 W Algonquin Rd, Mount Prospect1190 E Dundee Rd, Palatine230 W Virginia St, Crystal Lake106 W Sumner St, Harvard Position * Select position…Meat DepartmentProduce DepartmentTaqueriaCajasLineas Date You Can Start * Desired Hourly Rate (USD) * Are you currently employed? * YesNo May we contact your present employer? YesNo Have you previously worked at La Rosita Fresh Market? * YesNo If yes — when and which location? 3 Desired Work Schedule e.g. 8am – 4pm. Enter "off" if unavailable. Mon * Tue * Wed * Thu * Fri * Sat * Sun * 4 Former Employers List last four, most recent first From To Employer Name & Address Position Reason for Leaving From To Employer Name & Address Position Reason for Leaving From To Employer Name & Address Position Reason for Leaving From To Employer Name & Address Position Reason for Leaving 5 References Two persons, not related to you, known at least 1 year Full Name Phone Number Relationship Years Acquainted Full Name Phone Number Relationship Years Acquainted 6 Education High School School Name & Location Last year completed 1234 Did you graduate? YesNo Subjects & Degrees College School Name & Location Last year completed 1234 Did you graduate? YesNo Subjects & Degrees Other Education School Name & Location Last year completed 1234 Did you graduate? YesNo Subjects & Degrees 7 Agreements & Certification I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company. I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employment and any pertinent information they may have and I release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that if hired my employment is "at-will", there is no definite period of employment and may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice and without cause. I also understand and agree that for the first 90 days of my employment I will be an introductory employee subject to termination without cause and without prior notice.
